Abstract

Introduction. - Plastic bronchitis (PB) is characterized by the formation of thick branched and strongly adherent molds, which partially or completely obstruct the brachial lumen. It constitutes an evolutionary complication of preexisting or idiopathic respiratory and/or cardiac affections which usually appear during childhood.Observation. - We report the case of a 48-year-old woman, who was admitted for exacerbation of her asthma. Chest imaging has shown the presence of diffuse parenchymal opacities. Endoscopic exploration of the tracheobronchial tree showed extensive obstruction of the left bronchial tree by bronchial molds. The evolution was favorable after removal of the intrabronchial molds and treatment with oral corticosteroid therapy.Conclusion. - BP is a rare affection, usually secondary to an underlying chronic respiratory or heart disease. Although usually an early onset in childhood, BP can be diagnosed in adulthood. The treatment is based on the extraction of mules using the endoscope and on the treatment of the underlying pathology. (C) 2020 Elsevier Masson SAS. All rights reserved.

Authors

Marzouki, S.;  Hedhli, A.;  Mjid, M.;  Ouahchi, Y.;  Cheikhrouhou, S.;  Toujani, S.;  Merai, S.

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